Active NPI
Marlboro County Council
- Land Ambulance
- Bennettsville, SC
National Provider Identifier
1992369110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MARLBORO COUNTY COUNCIL
- Practice address
- 205 E Market St
Bennettsville, SC 29512-3128 - Phone
- (843) 479-5600
- NPI assigned
- Apr 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Watts
- Title
- EMS Director
- Phone
- (843) 479-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
205 E Market St
Bennettsville, SC 29512-3128
Mailing address
PO Box 419
Bennettsville, SC 29512-0419
Phone (843) 479-5600
Other names 2
- Marlboro County EMS
- Marlboro County Emergency Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190917000330 | SC | Part B Supplier - Ambulance Service Supplier | 7911236948 | Practice locations: Bennettsville, SC; MC Coll, SC; Wallace, SC |
| O20210210002462 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 7911236948 | Practice locations: Bennettsville, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2168708 | Marlboro County Emergency Medical Services | Certificate of waiver | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
205 E Market St
Bennettsville, SC 29512
Phone (843) 439-5183
130 S Marlboro St
Bennettsville, SC 29512
Phone (336) 416-7216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1992369110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295120419",
"telephone_number": "843-479-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E MARKET ST",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "295123128",
"telephone_number": "843-479-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLBORO COUNTY COUNCIL",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-23",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "WATTS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "843-479-5600"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marlboro County EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Marlboro County Emergency Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.